Evidence map›Paper›PMID 23847315›Full record

ArticleInvestigative ophthalmology & visual science2013

Theoretical analysis of vascular regulatory mechanisms contributing to retinal blood flow autoregulation.

Julia Arciero, Alon Harris, Brent Siesky, Annahita Amireskandari, Victoria Gershuny, Aaron Pickrell, Giovanna Guidoboni

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 76 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Julia ArcieroDepartment of Mathematical Sciences, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana 46202, USA. jarciero@math.iupui.edu
Alon Harris
Brent Siesky
Annahita Amireskandari
Victoria Gershuny
Aaron Pickrell
Giovanna Guidoboni
Indiana University – Purdue University Indianapolis · USHypertension Institute · USSt. George's School · USUniversity of Colorado Boulder · US

Funding

African and European Descent, Ocular Blood Flow and Glaucoma ProgressionR21EY022101 · NEI · INDIANA UNIVERSITY INDIANAPOLIS · PI HARRIS, ALON · 2012 to 2013
$419k
NEI NIH HHS 1R21EY022101-01A1NEI NIH HHS R21 EY022101
6 · The paper itself

Abstract

purposeTo study whether impaired retinal autoregulation is a risk factor for glaucoma, the relationship between vascular regulatory mechanisms and glaucoma progression needs to be investigated. In this study, a vascular wall mechanics model is used to predict the relative importance of regulatory mechanisms in achieving retinal autoregulation.

methodsResistance vessels are assumed to respond to changes in pressure, shear stress, carbon dioxide (CO2), and the downstream metabolic state communicated via conducted responses. Model parameters governing wall tension are fit to pressure and diameter data from porcine retinal arterioles. The autoregulation pressure range for control and elevated levels of IOP is predicted.

resultsThe factor by which flow changes as the blood pressure exiting the central retinal artery is varied between 28 and 40 mm Hg is used to indicate the degree of autoregulation (1 indicates perfect autoregulation). In the presence of only the myogenic response mechanism, the factor is 2.06. In the presence of the myogenic and CO2 responses, the factor is 1.22. The combination of myogenic, shear, CO2, and metabolic responses yields the best autoregulation (factor of 1.10).

conclusionsModel results are compared with flow and pressure data from multiple patient studies, and the combined effects of the metabolic and CO2 responses are predicted to be critical for achieving retinal autoregulation. When IOP is elevated, the model predicts a decrease in the autoregulation range toward low perfusion pressure, which is consistent with observations that glaucoma is associated with decreased perfusion pressure.

Indexed as

Models, CardiovascularAnimalsArteriolesBlood Flow VelocityGlaucomaHomeostasisHumansIntraocular PressureRegional Blood FlowRetinal VesselsSwineVascular ResistanceVenulesautoregulationblood flow regulationglaucomametabolic responsemyogenic responseretina

Identifiers

PMID23847315
PMCPMC3747715
OpenAlexW2055000601

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.